Individual provider Active NPI

Oluwakemi Esther Okunlola

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1700760451
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1064690 Issued in TX
Practice address
4201 W Parmer LN BLDG C
Austin, TX 78727-4109
Phone
(855) 204-2502
NPI assigned
Aug 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1064690 TX Primary

Addresses

Primary practice location

4201 W Parmer LN BLDG C
Austin, TX 78727-4109

Mailing address

4201 W Parmer LN Ste C175
Austin, TX 78727-4161
Phone (855) 204-2502

Other practice location 1

13740 N Highway 183 Ste L2
Austin, TX 78750-1833
Phone (254) 421-0420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211001799 TX Practitioner - Nurse Practitioner 3375022197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kotel AtxGroup PAC ID 9537578810, 27 clinicians

Practice addresses (Care Compare)

Austin, TX 78746
Phone (512) 777-2591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1064690TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixpath Mental Health Services PLLC Psychiatric/Mental Health CurrentSince Nov 30, 2025 Accepting new patients
Kotel Atx PastSince Feb 6, 2025 Accepting new patients
Kotel Atx Psychiatric/Mental Health PastSince Nov 24, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1700760451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W PARMER LN STE C175",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274161",
            "telephone_number": "855-204-2502",
            "fax_number": "218-396-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W PARMER LN BLDG C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274109",
            "telephone_number": "855-204-2502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13740 N Highway 183 Ste L2",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787501833",
            "country_code": "US",
            "telephone_number": "254-421-0420",
            "fax_number": "218-396-8185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKUNLOLA",
        "first_name": "OLUWAKEMI",
        "middle_name": "ESTHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1064690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.